Pharmacotherapy Adherence for Pediatric Anxiety Disorders: Predictors and Relation to Child Outcomes

Autor/inn/en	Zehgeer, Asima; Ginsburg, Golda S.; Lee, Phyllis; Birmaher, Boris; Walkup, John; Kendall, Philip C.; Sakolsky, Dara; Peris, Tara
Titel	Pharmacotherapy Adherence for Pediatric Anxiety Disorders: Predictors and Relation to Child Outcomes
Quelle	In: Child & Youth Care Forum, 47 (2018) 5, S.633-644 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1053-1890
DOI	10.1007/s10566-018-9459-9
Schlagwörter	Drug Therapy; Anxiety; Adolescents; Correlation; Compliance (Psychology); Children; Cognitive Restructuring; Behavior Modification; Demography; Individual Characteristics; Family Characteristics; Predictor Variables; Family Structure; Parent Attitudes + Suchen Sie Ihr Suchwort? Angst; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Korrelation; Child; Kind; Kinder; Behaviour modification; Verhaltensänderung; Demografie; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Prädiktor; Familienkonstellation; Familiensystem; Elternverhalten
Abstract	Background: Pharmacotherapy is considered an evidenced-based treatment for anxious youth. There is a need to better understand the relation between medication adherence and child outcomes. Objective: This study prospectively examined: (1) baseline predictors of adherence and (2) the relation between medication adherence and clinical outcomes in children and adolescents with anxiety disorders. Method: Participants were 349 youth randomized to sertraline, pill placebo, or sertraline plus cognitive behavioral therapy in the Child/Adolescent Anxiety Multimodal Study and followed over 12 weeks. The measure of pharmacotherapy adherence used was pharmacotherapist (PT) ratings of adherence at each session. Four domains of baseline predictors were examined (demographics, child clinical variables, family/parent variables, and treatment variables). Results: Multiple regression analyses revealed few significant predictors of adherence. The most robust predictors of greater adherence were living with two parents and parents' positive expectations that medication would lead to better outcomes. PTs ratings of higher adherence predicted higher global functioning at post treatment and treatment responder status. Conclusions: In order to increase adherence, improving expectations and instilling hope for positive outcomes and problem solving ways to overcome pragmatic barriers associated with single parent families is recommended. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01